CASE OF CHRONIC CALCULOSIS PANCREATITIS IN PATIENT WITH ALCOHOLIC CIRRHOSIS

The article describes clinical features, differential diagnosis and treatment of chronic calculouse pancreatitis (HCP) with alcoholic liver cirrhosis (LC). Considered etiologic role of chronic alcohol intoxication in the development of these diseases. There was long- term use of alcoholic beverages at hepatotoxic doses and smoking in anamnesis. Patient was examined before entering in our clinic. Сhronic heart failure, nephrotic syndrome, paraneoplastic was excluded as the cause of hydrops. Patient R. was hospitalized in the gastroenterology department with ascites of unknown etiology. The severity of the patient’s condition is caused by malabsorption syndrome and hepatocellular insufficiency leading to the development of edema-ascitic syndrome and trophological failure. In patient there was low of proteins (total protein — 38 g / l), low of albumins (14 g / l). In carrying out endoscopy showed signs of portal hypertension: esophageal varices 1 degree, portal gastropathy; In addition, an increase in the size of the papilla of Vater. To clarify the nature of the defeat of the pancreas held endosonography, in which multiple calcifications are found in the pancreas tissue. To resolve biliary hypertension performed stenting of the common bile duct. Drain the pancreatic duct failed due to the presence of calculus in it at the level of the isthmus. Treatment for our patient should be considered the imposition Ru’s operation. This observation demonstrates social importance of problems of combination HCP with a LC, which lead to reduced quality of life, early disability, reduced life expectancy, as well as to an increase in treatment costs